Veronika Boulantsova

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

692018 Issued in TX

Practice address

9191 Pinecroft Dr Ste 100
Shenandoah, TX 77380-2797

Phone

(281) 909-7722

NPI assigned

Mar 20, 2019

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alleviotexas.veronikaboulantsova@161097.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MBV PLLC

  dba Foot & Ankle Specialists of the Woodlands

  • Foot & Ankle Surgery Podiatrist
  • The Woodlands, TX
  • NPI 1396186904

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Fas of TW LLC

  • Foot & Ankle Surgery Podiatrist
  • Shenandoah, TX
  • NPI 1942011986

  Single Specialty

  NPD
• MBV PLLC

  • Podiatrist
  • Huntsville, TX
  • NPI 1063290112

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1235699844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802797",
            "telephone_number": "281-909-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 100",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802797",
            "telephone_number": "281-909-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULANTSOVA",
        "first_name": "VERONIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathe Boarman
• Stephanie Bodet, AU.D.
• Olivia Gayle Boggan
• Laura Belorgey Bonds, MD
• Katherine Borths, PA-C
• Aranyanee Bowers, D.O.
• Alfred A Boyd, MD
• Allison Boyle, M.D.
• Abbie E Bradford, APRN, AGACNP-BC
• Vishnu S. Brahmandam, M.D.

• Foot & Ankle Surgery Podiatrist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.